Tag Richard C. Prielipp

Hypothyroidism : Myxedema Coma

Case Synopsis A 53-year-old woman with a long history of hypothyroidism and tobacco abuse presents to the emergency department with generalized weakness, lethargy, mild shortness of breath, edema of her lower extremities, constipation, and slow speech. She admits to stopping…

Hyperthyroidism : Thyroid Storm

Case Synopsis A 32-year-old woman undergoes emergent general anesthesia maintained with 1.2% isoflurane for fixation of a compound humeral fracture. Preoperative history is significant for anxiety and intolerance to heat. Physical examination is noteworthy for periorbital swelling; warm, moist skin…